gynecomastia - BEFORE HT

Hi All,

Has anyone experienced gynecomastia before HT, i.e. scheduled for robotic surgery (within 24 hours), and I have something else going on in the mind. There has been pain in left breast - and reading about it, its either BCa or gynecomastia.
When I searched for gynecomastia and PCa - I get lots of links that its a side effect of HT.

I have taken avodart or some other hypertension medications - which may have caused this - but does that mean - the harmone needed to fight the PCa after a few years is already present in the body from these other drugs, and the HT after a few years may be less effective?

Sorry if this question does not make sense at all - but just trying to link different articles I have been reading.

Thanks for any insights.
Ein

-- diagnosed Jan 2012 - 2 of 10 cores - one at 10% (3+4) and one at 2% (4+3).
-- Scans clear - something b-9 was found in Femur
--Age 67
--PSA last year August - 8.1 - at the time of Biopsy - 4.2 (dropped because of Avodart to 3.4 and then climbed again when Avodart was stopped).

142 said...
You should talk to your doctor. Spending too much time on the internet is bad for your (perceived) health ;)

:) I asked about the breast pain to both Urologist and the RO (who gave second opinion for surgery vs radiation), and they both said "talk to your primary care doc" for this breast pain. They both refused to entertain the question about it - even though I asked them - can this be related to avodart?

Primary Care doc says - "we will worry about it after the prostate surgery".

Adovart can cause this, but it will go away in a few months after stopping. How long have you been off avovart?

Note that once you get boob enlargement from any related drug or HT therapy or orchiectomy, you are stuck with the growth that has in fact accumulated (if that happens to you), you can do either adjuvant or neo-adjuvant breast radiation protocol to either stop further growth or stop it from the beginning (neo adj.) and this works in alot of patients (but not always), this can be done via electron rays in either one or 3-4 sessions. Those rays are considered safer too, I was told by rad-onco. The other options are a couple of drugs that can interfere and may prevent boob enlargement (gynecomastia). Myself chose the radiation protocol (electron rays), but didn't start it in my first two years while on ADT3, so the minor enlargement I had stays forever (but not to bad), it did stop further enlargement in my case. IF you do nothing and get huge boobs, surgery is another option and a friend of mine just did that option.

Dr. Myers mentions that this enlargement scenario is very strange indeed, that in like 30% of men whom do nothing to prevent it, they never get enlargement and it is unexplainable as to why that is and so far no known way to detect whom these patients are as a group or risk area. This is your PCa on about any thing: results vary, inconsistencies, anomolies can be found on almost everything. Hope this helps some people understand this phenomena and how it works.

Post Edited (zufus) : 2/15/2012 3:57:12 AM (GMT-7)